During nasotracheal suctioning, the client's heart rate changes from 78 to 48 beats/min. What is your best first action?
A. Stop suctioning.
B. Administer oxygen by mask at 2 L/min.
C. Gently pinch the client's cheek.
D. Document the observation.
A
The client is experiencing vagal stimulation and bradycardia from the presence of the suction catheter in the tracheopharyngeal area. Such stimulation can lead to severe hypotension, heart block, and asystole.
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